DEAN EASTON

MOSCOW, ID
NPI1407807266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: ID  M-11414)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: NV  5480)
2085R0202X Radiology Diagnostic Radiology
(Licence: WA  MD60222657)
Enumeration Date2006-05-15
Last Update Date2011-10-12
Business Address
DEAN EASTON M.D.
405 STYNER AVE
MOSCOW, ID 83843-9394
Phone number: 208-882-8369
Mailing Address
DEAN EASTON M.D.
PO BOX 9583
MOSCOW, ID 83843-0177
Phone number: 208-882-8369